| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,543 |
3,122 |
$174K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,171 |
2,754 |
$33K |
| E0601 |
Continuous positive airway pressure (cpap) device |
604 |
481 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
65 |
51 |
$5K |
| E0570 |
Nebulizer, with compressor |
258 |
200 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
78 |
51 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
100 |
69 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
104 |
69 |
$967.61 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
40 |
26 |
$469.84 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
96 |
50 |
$137.06 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
31 |
12 |
$23.07 |